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They really want to go back home, they hate it here: the importance of place in Canadian health professionals' views on the barriers facing Aboriginal patients accessing kidney transplants
Authors:Anderson Kate  Yeates Karen  Cunningham Joan  Devitt Jeannie  Cass Alan
Affiliation:The George Institute for International Health and the University of Sydney, PO Box M201, Missenden Road, Camperdown, NSW 2096, Australia. kanderson@george.org.au
Abstract:Aboriginal Canadian patients with end-stage kidney disease receive disproportionately fewer transplants than non-Aboriginal patients. The reasons for this are poorly understood and likely to be complex. This qualitative study employed thematic analysis of in-depth interviews with Canadian kidney health professionals (n=23) from programs across Canada to explore their perspective on this disparity. Individual-level factors were the most commonly reported barriers to Aboriginal patients accessing transplants-most notable of which was patients' remote living location. Understanding the role of 'place' as a barrier to accessing care and the lived experiences of Aboriginal patients emerged as key research priorities.
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